recommended reading

Three-Quarters of Military Brain Injuries Attributed to Accidents

Spc. Bob Westbrook, left, has been on recent deployments to Afghanistan, has been receiving treatment from the Army base's Warrior Recovery Center because of a Traumatic Brain Injury.

Spc. Bob Westbrook, left, has been on recent deployments to Afghanistan, has been receiving treatment from the Army base's Warrior Recovery Center because of a Traumatic Brain Injury. // Bryan Oller/AP File Photo

Although traumatic brain injury has been called the “signature injury” of the wars in Iraq and Afghanistan, accidents represented 74 percent of recorded military TBI cases from 2008 through 2011, while battlefield injuries made up 11 percent, the Armed Forces Health Surveillance Center reported today.

The center said it focused its study on the external causes of TBI during that time period because medical codes indicating causes were infrequently reported in combat theater hospitals and civilian medical facilities before 2008, while 100 percent of cases were reported for patients hospitalized in military treatment facilities.

The Defense Department treated 24,115 service members for TBI from 2008 to 2011. Of those cases, 2,711 -- 11 percent -- resulted from battlefield injuries, based on “TBI-case defining medical encounters with recorded causes,” the center reported.  TBI patients treated in combat theaters lacked documentation in most cases, with only 15 percent recorded by cause of injury. Of those cases, 88 percent were attributed to combat injuries and 7 percent to gun/explosive accidents, the center said.  

The center said its study shows that since that since 2000, accidents -- in particular, motor vehicle accidents, falls and strikes by or against objects -- have been the most frequent cause of TBI, which requires medical care. Assaults accounted for 19 percent of hospitalizations of military personnel in civilian hospitals the center said.

In its study, the center said it focused only on the first recorded and not subsequent medical encounters for TBI.  Since “many military members sustain multiple TBIs while in service, the numbers of TBIs documented here underestimate the total numbers of TBIs among military members,” the center said in a cautionary note.

The center also said it “is likely. . . that at least some TBIs reportedly due to ‘accidental injuries’ were in fact combat injuries that were miscoded.”  The report concluded, “The distinction between battle casualties and accidents could in some cases be obscured by the unconventional nature of combat during the recent wars in Iraq/Afghanistan. In summary, if some TBIs from battle injuries were miscoded as due to accidents, the overall numbers and proportions of TBIs due to battle injuries that are reported here are underestimates.”

Threatwatch Alert

Thousands of cyber attacks occur each day

See the latest threats

JOIN THE DISCUSSION

Close [ x ] More from Nextgov
 
 

Thank you for subscribing to newsletters from Nextgov.com.
We think these reports might interest you:

  • Data-Centric Security vs. Database-Level Security

    Database-level encryption had its origins in the 1990s and early 2000s in response to very basic risks which largely revolved around the theft of servers, backup tapes and other physical-layer assets. As noted in Verizon’s 2014, Data Breach Investigations Report (DBIR)1, threats today are far more advanced and dangerous.

    Download
  • Featured Content from RSA Conference: Dissed by NIST

    Learn more about the latest draft of the U.S. National Institute of Standards and Technology guidance document on authentication and lifecycle management.

    Download
  • PIV- I And Multifactor Authentication: The Best Defense for Federal Government Contractors

    This white paper explores NIST SP 800-171 and why compliance is critical to federal government contractors, especially those that work with the Department of Defense, as well as how leveraging PIV-I credentialing with multifactor authentication can be used as a defense against cyberattacks

    Download
  • Toward A More Innovative Government

    This research study aims to understand how state and local leaders regard their agency’s innovation efforts and what they are doing to overcome the challenges they face in successfully implementing these efforts.

    Download
  • From Volume to Value: UK’s NHS Digital Provides U.S. Healthcare Agencies A Roadmap For Value-Based Payment Models

    The U.S. healthcare industry is rapidly moving away from traditional fee-for-service models and towards value-based purchasing that reimburses physicians for quality of care in place of frequency of care.

    Download
  • GBC Flash Poll: Is Your Agency Safe?

    Federal leaders weigh in on the state of information security

    Download

When you download a report, your information may be shared with the underwriters of that document.